Individual provider Active NPI

Kathryn Elizabeth Berry, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1225677966
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP145202 Issued in TX
Practice address
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Dec 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 821249 TX
Certified Registered Nurse Anesthetist 367500000X 128632 NC
Certified Registered Nurse Anesthetist 367500000X AP145202 TX Primary

Addresses

Primary practice location

12222 Merit Dr Ste 600
Dallas, TX 75251-3294

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

3705 Medical Pkwy Ste 570
Austin, TX 78705-1024
Phone (512) 454-2554

Other practice location 2

300 University Blvd
Round Rock, TX 78665-1032
Phone (512) 509-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kberry1370221@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200304001446 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971930959 Reassigns benefits to 3 organizations
I20240618003585 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971930959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200

7000 N Mopac Expy
Suite 120
Austin, TX 78731-3030
Phone (512) 342-0900

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
128632NCMDCertified Registered Nurse Anesthetist
AP145202TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital Current Accepting new patients
Scott & White Clinic CurrentSince Dec 30, 2024 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 24, 2024 Accepting new patients
Scott & White Clinic Current Accepting new patients
Orthomed Staffing LLC CurrentSince Jan 9, 2025 Accepting new patients
Scott & White Clinic CurrentSince Dec 30, 2024 Accepting new patients
St. Vincent Hospital CurrentSince May 20, 2024 Accepting new patients
St Vincent Hospital Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations (25 of 39)

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000

8111 Meadow Rd
Dallas, TX 75231
Phone (214) 471-5975

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

8350 Dallas Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 213-8310

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

601 Clara Barton Blvd
Ste 350
Garland, TX 75042
Phone (972) 426-9900

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000

8080 State Highway 121
Ste 100
McKinney, TX 75070
Phone (214) 547-2700

Interoperability endpoints

  • Direct secure messaging: kberry1370221@direct.sw.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1225677966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 MERIT DR STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513294",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Medical Pkwy Ste 570",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051024",
            "country_code": "US",
            "telephone_number": "512-454-2554",
            "fax_number": "512-454-2824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651032",
            "country_code": "US",
            "telephone_number": "512-509-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "821249",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "128632",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP145202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberry1370221@direct.sw.org",
            "affiliation": "N",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.